| Pourang Kamali Md Inc | |
|
752 Medical Center Ct 106 Chula Vista CA 91911-6658 | |
| (619) 754-6120 | |
| (619) 482-6656 |
| Full Name | Pourang Kamali Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 752 Medical Center Ct, Chula Vista, California |
| Authorized Official Name and Position | Andrea Kamali (ADMINISTRATOR) |
| Authorized Official Contact | 6198504161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pourang Kamali Md Inc 752 Medical Center Ct 106 Chula Vista CA 91911-6658 Ph: (619) 754-6120 | Pourang Kamali Md Inc 752 Medical Center Ct 106 Chula Vista CA 91911-6658 Ph: (619) 754-6120 |
| NPI Number | 1750608931 |
|---|---|
| Provider Enumeration Date | 04/27/2010 |
| Last Update Date | 04/27/2010 |
| Medicare PECOS PAC ID | 8325225022 |
|---|---|
| Medicare Enrollment ID | O20110607000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750608931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A90859 (California) | Primary |
| Provider Name | Pourang Kamali |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609954171 PECOS PAC ID: 3779760475 Enrollment ID: I20110607000088 |
| Provider Name | Elizabeth Calderon-bravo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306386412 PECOS PAC ID: 8123361672 Enrollment ID: I20190524000000 |
| Provider Name | Cynthia Vanessa Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174105589 PECOS PAC ID: 0042699258 Enrollment ID: I20220617002448 |
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